DENNIS L WAGNER (NPI# 1891750501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891750501 |
| Entity Type | Individual |
| Full Name | DENNIS L WAGNER |
| Credential | MD |
| Practice Address |
550 University Blvd Indianapolis IN 46202-5149 |
| Mailing Address |
1120 South Dr Fesler Hall, Rm 204 Indianapolis IN 46202-5135 |
| Practice Telephone | 3175740273 |
| Practice Fax Number | 3175672191 |
| Mailing Telephone | 3172740273 |
| Mailing Fax Number | 3175672191 |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2011-09-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | 01027891A | IN | Allopathic & Osteopathic Physicians |
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
01027891 | IN | Allopathic & Osteopathic Physicians |
| Y | 208VP0000X |
Pain Medicine Specialization: Pain Medicine |
01027891 | IN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100324970 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982803920 | Dennis Ryan Wagner | Dentist | 407 South 48th St, Quincy, IL 62305 | 2007-07-11 |
| 1285850347 | Dennis Michael Wagner | Pharmacist | 79 Washington St, Claremont, NH 03743-5504 | 2007-04-17 |
| 1770630733 | Dennis M Wagner | Optometrist | 2901 Curry Ford Rd, Suite 214, Orlando, FL 32806-3300 | 2007-01-04 |
| 1912087297 | Dennis H Wagner | Pharmacist | 2703 N Rockwell Ave, Bethany, OK 73008-5246 | 2006-10-17 |
| 1427147792 | Dennis S Wagner | Dentist | 2103 10th St, Tillamook, OR 97141-3912 | 2006-10-12 |
| 1184649402 | Dennis E Wagner | Psychologist | 1169 Eastern Pkwy Ste 2238, Louisville, KY 40217-1444 | 2006-07-13 |
| 1700801800 | Dennis A Wagner | Anesthesiology | 4005 Orchard Dr, Midland, MI 48670-0001 | 2006-07-12 |
| Street Address |
550 UNIVERSITY BLVD |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46202-5149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194720003 | Rebecca R Small | Family Medicine | 550 University Blvd, Uh 1501, Indianapolis, IN 46202-5149 | 2005-06-16 |
| 1952900961 | Laura Katherine Durr | Nurse Practitioner | 550 University Blvd, Indianapolis, IN 46202-5149 | 2020-10-21 |
| 1013516400 | Ramandeep Kaur Chohan | Anesthesiologist Assistant | 550 University Blvd, Indianapolis, IN 46202-5149 | 2020-10-19 |
| 1063027993 | Allison Ruth Rodriguez | Dietitian, Registered | 550 University Blvd, Indianapolis, IN 46202-5149 | 2020-09-08 |
| 1225654189 | Nichole Pullin | Physician Assistant | 550 University Blvd, Indianapolis, IN 46202-5149 | 2020-06-17 |
| 1336764992 | Laura M Lambeth | Pharmacist | 550 University Blvd, Indianapolis, IN 46202-5149 | 2020-06-10 |
| 1518580059 | Hani Shamseddeen | Student in an Organized Health Care Education/Training Program | 550 University Blvd, Indianapolis, IN 46202-5149 | 2020-05-19 |
| 1609497254 | Mariana Hoyos | Student in an Organized Health Care Education/Training Program | 550 University Blvd, Indianapolis, IN 46202-5149 | 2020-05-05 |
| 1760003354 | Maria Danielle Browning | Dietitian, Registered | 550 University Blvd, Indianapolis, IN 46202-5149 | 2020-05-05 |
| 1912527862 | Tejas Nimba Nikumbh | Student in an Organized Health Care Education/Training Program | 550 University Blvd, Indianapolis, IN 46202-5149 | 2020-04-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790386886 | Sara Brooke Horn | Registered Nurse | 1801 N Senate Ave Ste 3300, Indianapolis, IN 46202 | 2020-11-04 |
| 1013521905 | Zachary Camden Grimes | Registered Nurse | 720 Eskenazi Avenute, Indianapolis, IN 46202 | 2020-09-08 |
| 1790314045 | Scott C Mitchell II | Student in an Organized Health Care Education/Training Program | Indiana University School of Medicine Dept of Neurosurg, 355 W. 16th St, Gh 5100, Indianapolis, IN 46202 | 2020-04-07 |
| 1053940676 | James Patrick Kelly Iv | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Dr., Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1124657697 | Betsy Wilson Stevens | Student in an Organized Health Care Education/Training Program | 705 Riley Hospital Drive, Ri-5837, Indianapolis, IN 46202 | 2020-04-06 |
| 1093340580 | Brian T Edmonds | Social Worker | Sandra Eskenazi Mental Health Center, 1700 N Illinois St, Indianapolis, IN 46202 | 2020-03-05 |
| 1326683210 | Lindsay Nicole Rich | Nurse Practitioner | 1800 N Senate Ave, Indianapolis, IN 46202 | 2019-11-14 |
| 1427693670 | Ronald Mcdonald House Charities of Central Indiana | Voluntary or Charitable | 435 Limestone Street, Indianaplois, IN 46202 | 2019-11-12 |
| 1790344760 | Kirsten Denise Leaberry | Student in an Organized Health Care Education/Training Program | Iu Health Neuroscience Center, Goodman Hall, 355 West 16th Street, Indianapolis, IN 46202 | 2019-06-12 |
| 1679138093 | Chris Olson Jr. | Student in an Organized Health Care Education/Training Program | 1701 N. Senate Blvd, Ag012, Indianapolis, IN 46202 | 2019-05-02 |
| Find all providers in zip 46202 | ||||
| Taxonomy Code | 208VP0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pain Medicine |
| Specialization | Pain Medicine |
| Pain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient’s pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies. |
| Notes: Source: American Academy of Pain Medicine, www.painmed.org - Additional Resources:The American Board of Pain Medicine provides Board Certification. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609258763 | Philip Michael Shumsky | Pain Medicine | 1120 West Michigan Street, Cl 626, Indianapolis, IN 46202 | 2015-06-25 |
| 1538346689 | Indiana Spine Group, PC | Pain Medicine | 8040 Clearvista Pkwy, Suite 450, Indianapolis, IN 46256-5630 | 2008-01-30 |
| 1265537716 | Dan K. Nordmann | Pain Medicine | 8051 S Emerson Ave, Suite 360, Indianapolis, IN 46237-8600 | 2006-09-13 |
| 1447353255 | Driehorst & Peters, P.C. | Pain Medicine | 5255 E Stop 11 Rd, Suite 250, Indianapolis, IN 46237-6340 | 2006-09-07 |
| 1982648762 | Indiana Interventional Pain, LLC | Pain Medicine | 5445 E 16th St, Indianapolis, IN 46218-4869 | 2006-06-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033501937 | Todd Noel Wolford | Pain Medicine | 10176 W 400 N Ste B, Michigan City, IN 46360-9009 | 2015-03-02 |
| 1376809566 | Xiaogang Jiang | Pain Medicine | 207 Sparks Ave Ste 300, Jeffersonville, IN 47130-3739 | 2012-04-02 |
| 1992981997 | Sonovu Diagnostics LLC | Pain Medicine | 17039 Mercantile Blvd, Noblesville, IN 46060-3941 | 2008-01-21 |
| 1104932185 | Institute of Comprehensive Pain Management, LLC | Pain Medicine | 30 South Emerson Avenue, Greenwood, IN 46143 | 2006-08-22 |
| 1801902192 | Harrison County Hospital | Pain Medicine | 1263 Hospital Dr, Suite 270, Corydon, IN 47112-1878 | 2006-08-21 |
| 1104878982 | Gregory Scott Masimore | Pain Medicine | 730 Executive Park Dr Ste A, Greenwood, IN 46143-3213 | 2006-05-17 |
| 1407825813 | Ryan D Loyd | Pain Medicine | 415 N 26th St., Suite 202, Lafayette, IN 47904 | 2006-03-16 |
| 1700433588 | Deaconess Hospital, Inc | Pain Medicine | 1808 Sherman Dr, Princeton, IN 47670-1043 | 2019-08-26 |
| 1265996144 | Neurology and Pain Medical Associates LLC | Pain Medicine | 123 S Mckinley Ave, Rensselaer, IN 47978-2949 | 2019-01-25 |
| 1881013647 | Joseph Folz | Pain Medicine | 7145 E Virginia St Ste 5000, Evansville, IN 47715 | 2014-04-09 |
| Find all providers with the same taxonomy | ||||
| City | INDIANAPOLIS |
| Zip Code | 46202 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.